Blockade of the abdominal nerves as a method of treatment

The patient is placed on the operating table in a horizontal position face down with his arms outstretched. The arms are bent at the elbow joints and placed under the head, which contributes to the removal of the shoulder blades forward. A roller is placed under the abdominal wall to align the lumbar and thoracic spine. Prepare the surgical field from the corners of the shoulder blades to the lower lumbar spine. There are two points of the site of the introduction of novocaine with a preliminary formation, lemon nodule. The needle is installed perpendicular to the VI intercostal space, retreating 2 cm to the right of the spine, and along the lower edge of the VII rib is pushed deeper with a preliminary injection of 0.25% novocaine solution in front of it. When the needle reaches the intercostal muscles, there is a slight increase in the obstacle and difficulty in introducing the solution. Having advanced the needle by 0.3-0.5 cm, we approach the parietal pleura. In this department, the solution flows more freely. When the pleura is irritated, a cough reflex appears, but this happens very rarely, since the injected novocaine anesthetizes the pleura, and the reflex does not occur.